scholarly journals Clinical outcomes and quality of life in patients with Stanford type B aortic dissection after endovascular repair

2018 ◽  
Vol 21 (5) ◽  
pp. E382-E386
Author(s):  
Yonghua Bi ◽  
Hongmei Chen ◽  
Zepeng Yu ◽  
Jianzhuang Ren ◽  
Xinwei Han
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Aortic Dissection ◽  
Clinical Outcomes ◽  
Endovascular Repair ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Sf 36 ◽  
Stanford Type B

Background: Aortic dissection is a severe and life-threatening disease that is usually linked with numerous possible complications. Stanford type B aortic dissection patients often choose endovascular repair due to its mini-invasiveness and quick recovery. This study concerns with medial-term outcome and quality of life (QoL) in patients with Stanford type B aortic dissection after endovascular repair.Methods: From January 2014 until July 2016, 40 patients with Stanford type B aortic dissection received an endovascular repair. Of the total number of patients, 35 were males (87.5%) and 5 females (12.5%), mean aged 80.9±14.1 years. The Medical Outcomes Study-Short Form-36 (MOS SF-36) was used to assess the QoL preoperatively and after endovascular repair. The first follow-up (FU) of SF-36 questionnaire (FU1) was obtained within 3.9±0.3 months after repair, and the second (FU2), 25.6±6.5 months thereafter.Results: None of patient died during the observational period, and one patient lost to FU. SF-36 observation showed the best-scoring domain was ‘Role emotion’, ‘Vitality’ and ‘Mental health’ were also scored well preoperatively. Except for ‘Role emotion’ and ‘Mental health’, all remained domains were significantly improved both FU1 and FU2.Conclusions: Endovascular repair in patients with Stanford type B aortic dissection enables excellent clinical outcomes and QoL.

scholarly journals Clinical outcomes and quality of life in patients with acute and subacute type B aortic dissection after thoracic endovascular aortic repair

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052094550
Author(s):  
Yonghua Bi ◽  
Mengfei Yi ◽  
Xinwei Han ◽  
Jianzhuang Ren
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Aortic Dissection ◽  
Clinical Outcomes ◽  
Thoracic Endovascular Aortic Repair ◽  
Endovascular Aortic Repair ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Aortic Repair

Objective Thoracic endovascular aortic repair (TEVAR) is considered the mini-invasive treatment of choice for patients with Stanford type B aortic dissection (TBAD). This study aimed to investigate the clinical outcomes and quality of life (QoL) in patients with acute and subacute TBAD after TEVAR. Methods From January 2014 until July 2016, 22 acute patients (Group A) and 18 subacute patients received TEVAR (Group B), and 13 patients were managed non-operatively (Group C). The Medical Outcomes Study Short Form-36 was used to assess QoL preoperatively and after TEVAR. Operative techniques and complications were retrospectively analyzed. Results The role emotion, vitality, and mental health domains scored well preoperatively. Except for role emotion, vitality, and mental health, the remaining domains significantly improved after TEVAR. There was no significant difference in QoL metrics between Groups A and B. In Group C, bodily pain and social functioning domains were improved, and role emotion was decreased, with no improvement in the remaining domains. The 3-year survival rates were 95.5%, 100%, and 85.7% for Groups A, B, and C, respectively. Conclusions TEVAR may be safe and effective in patients with acute and subacute TBAD with similar and favorable clinical and QoL metrics.

scholarly journals Endovascular Repair of Stanford Type B Aortic Dissection: Early and Mid-term Outcomes of 121 Cases

2009 ◽  
Vol 50 (4) ◽  
pp. 962
Author(s):  
C. Guangqi ◽  
L. Xiaoxi ◽  
C. Wei ◽  
L. Songqi ◽  
Y. Chen ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Endovascular Repair ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Stanford Type B

Intraoperative Stent-Graft-Induced Aortic Intimal Intussusception During TEVAR for Type B Aortic Dissection

2021 ◽  
pp. 152660282110282
Author(s):  
Tao Ma ◽  
Fei Liu ◽  
Bin Chen ◽  
Jun Hao Jiang ◽  
Yun Shi ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Endovascular Repair ◽  
Type B ◽  
Type B Aortic Dissection ◽  
Intraoperative Complication ◽  
Intimal Flap ◽  
Abdominal Aortic ◽  
Intimal Intussusception ◽  
Stanford Type B

Background: Aortic intimal intussusception is well described in the natural progression of type A aortic dissection. Only 3 cases of aortic intimal intussusception were reported to be related to thoracic endovascular aortic repair (TEVAR) for Stanford type B aortic dissection. In our study, we are reporting a rare but potentially fatal complication, the intraoperative stent-graft (SG)-induced aortic intimal intussusception (ISAII); this study reports a series of endovascular repair for ISAII cases. By presenting the ISAII definition, the diagnostic steps to rule out or to identify the condition, and the techniques to resolve it, we intended to raise the awareness of this severe complication, so that physicians can adapt to overcome the complications while performing TEVAR. Materials and Methods: ISAII was defined as the partial or circumferential disruption of the distal intimal flap as an intraoperative complication of endovascular treatment. From January 2014 to June 2020, 1,096 patients underwent TEVAR for Stanford type B aortic dissection at our hospital. Among them, 14 ISAII complications were witnessed. All these patients underwent endovascular repair for ISAII lesions, and their data were extracted for analysis. Results: The ISAII lesions were classified into 3 types according to their location in different aortic segments: type I, ISAII was limited within the intended SG coverage segment; type II, ISAII occurred after SG introduction or deployment, and the detached intimal flap extended beyond the intended SG coverage segment but did not affect the abdominal aortic visceral branches; type III, ISAII occurred during SG introduction or deployment, and the detached intimal flap descended to the abdominal aortic segment with visceral branches. Our results showed ISAII as a rare complication with an incidence of 1.28% (14/1096), and endovascular repair for all types of ISAII is an effective treatment. With a mean follow-up of 27.36 months (range 5–71 months), all the ISAII lesions were stable, and all the major aortic branches, SGs, and bare stents were patent. Conclusions: The management of this potentially devastating intraoperative complication relies on accurate diagnosis and prompt management. Our results suggested that endovascular repair for ISAII is effective and durable for correcting this complication. Graphical Abstract [Formula: see text]

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